Related Experiment Video
Updated: May 24, 2026

Intra-Operative Neural Monitoring of Thyroid Surgery in a Porcine Model
Published on: February 11, 2019
Laryngeal nerve monitoring: current utilization among head and neck surgeons
Michael C Singer1, Richard M Rosenfeld, Krishnamurthi Sundaram
1Department of Otolaryngology-Head and Neck Surgery, Georgia Health Sciences University, Augusta, Georgia 30912-4060, USA. msinger@georgiahealth.edu
Objective:
There is continued debate over the value of laryngeal nerve monitoring (LNM) during thyroidectomy. Previous studies have suggested that utilization of electromyographic endotracheal tubes for neuromonitoring is limited. We queried head and neck surgeons regarding their attitudes toward LNM.
Study Design:
Voluntary survey.
Setting:
Internet based.
Subjects And Methods:
An anonymous survey of the members of the American Head and Neck Society was performed. Information was collected on participants' training history, practice setting, years of experience, and annual volume of thyroid and parathyroid surgeries. Participants' use of LNM and their beliefs regarding possible benefits were assessed.
Results:
One hundred seventy surveys were completed (18% response rate). Of respondents, 65% use LNM in at least some thyroid and parathyroid cases, 37% always and 28% sometimes. The most commonly cited reasons for LNM use were "medical-legal protection" and "increased confidence." Comparing otolaryngologists to general surgeons, 43% versus 17% (P = .016) always use LNM, 27% versus 36% sometimes use monitoring, and 30% versus 47% never use monitoring. Younger surgeons were more likely to use LNM.
Conclusion:
Currently, no consensus exists regarding the use of LNM during thyroid and parathyroid surgery. Our results suggest that LNM use has become more widespread. Irrespective of the reasons surgeons are adopting LNM, if this trend continues, LNM may eventually become routine practice among head and neck surgeons.
More Related Videos
11:46Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model
Published on: October 13, 2022
05:25Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
Published on: October 24, 2025
Related Concept Videos
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques